Evidence map›Paper›PMID 24963729›Full record

Trial reportThe American journal of drug and alcohol abuse2014

Open-label pilot study of quetiapine treatment for cannabis dependence.

John J Mariani, Martina Pavlicova, Agnieszka K Mamczur, Adam Bisaga, Edward V Nunes, Frances R Levin

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The American journal of drug and alcohol abuse, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.9field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Pharmacotherapy for Cannabis Use Disorder: Preclinical and Clinical Models.Current topics in behavioral neurosciences · 2026
    Review
  2. Article
  3. Cannabis and Mood Disorders.Current addiction reports · 2018
    Article
  4. Article
  5. The Current State of Pharmacological Treatments for Cannabis Use Disorder and Withdrawal.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Review
  6. Article
  7. The cannabis withdrawal syndrome: current insights.Substance abuse and rehabilitation · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

John J MarianiNew York State Psychiatric Institute, Division of Substance Abuse , New York .
Martina Pavlicova
Agnieszka K Mamczur
Adam Bisaga
Edward V Nunes
Frances R Levin
New York State Office of Alcoholism and Substance Abuse Services · USColumbia College · CAColumbia University · USNew York State Psychiatric Institute

Funding

PHARMACOLOGICAL TREATMENT OF MARIJUANA DEPENDENCEP50DA009236 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI KLEBER, HERBERT DAVID · 1994 to 2013
$39.4M
Substance Abuse Treatment Development and Clinical Research MentoringK24DA029647 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LEVIN, FRANCES RUDNICK · 2010 to 2019
$1.8M
Drug Abuse Treatment Development and Research MentoringK24DA022412 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NUNES, EDWARD V. · 2007 to 2016
$1.7M
Anticonvulsant Pharmacotherapy for Sedative-Hypnotic Use DisordersK23DA021209 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MARIANI, JOHN J · 2006 to 2010
$884k
NIDA NIH HHS K23 DA021209NIDA NIH HHS K23-DA021209NIDA NIH HHS K24 DA022412NIDA NIH HHS K24-DA022412NIDA NIH HHS K24 DA029647NIDA NIH HHS P50 DA009236NIDA NIH HHS P50-DA09236PHS HHS K24 029647
6 · The paper itself

Abstract

backgroundThere are no efficacious pharmacotherapies for cannabis dependence. The effects of quetiapine are well matched to the symptoms of cannabis withdrawal and could be useful in the treatment of cannabis dependence.

objectivesTo evaluate quetiapine for the treatment of cannabis dependence and determine the optimal dosing.

methodsIn an eight-week open-label outpatient pilot trial, we evaluated the feasibility of quetiapine treatment for cannabis dependence in 15 outpatients. Quetiapine was gradually titrated to 600 mg or the maximum tolerated dose.

resultsThe mean study retention was 6.5 weeks (±2.3), with 67% of participants completing all eight weeks of the trial. The mean maximum dose achieved was 197 mg/day (range: 25-600 mg/day). Only two of the 15 participants were able to achieve the target dose of 600 mg daily. There were no serious adverse events and no participants were discontinued from the trial due to adverse effects. The most common reported adverse effects were fatigue (80% of participants) and somnolence (47%). From baseline to week 8, the modeled overall decrease in daily dollar value of marijuana was 76.3% (CI: 63.4%, 84.7%). Over the eight weeks of the study, there was a 46.9% (CI: 11%, 68.3%) decrease in urine tetrahydrocannabinol-9-carboxylic acid (THCOOH) levels.

conclusionsThese preliminary results are promising in that quetiapine treatment was tolerated by cannabis-dependent patients and associated with decreased cannabis use. The recommended maximum target dose for cannabis-dependent patients is 300 mg daily. These preliminary data support further evaluation of quetiapine as a treatment for cannabis dependence.

Indexed as

AdultAntipsychotic AgentsDibenzothiazepinesDose-Response Relationship, DrugDrug Administration ScheduleFemaleHumansMaleMarijuana AbusePilot ProjectsQuetiapine FumarateTreatment OutcomeYoung AdultAntipsychotic AgentsDibenzothiazepinesQuetiapine FumarateCannabisdependencepharmacotherapyquetiapinetreatment

Identifiers

PMID24963729
PMCPMC4232231
OpenAlexW2035038061

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.